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Winding Trails Post Acute
2800 Palo Pkwy, Boulder, CO 80301
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Winding Trails Post Acute, in Boulder, Colorado, is certified for 150 beds under for-profit, limited liability company ownership and belongs to the Pacs Group chain.
CMS gives it 2 of 5 stars overall, below the Colorado median of 3; the health inspection rating is 1, staffing 4 and quality measures 5.
Inspectors recorded 69 health deficiencies across the three most recent survey cycles (10, 15, 44 by cycle, most recent first), 12 of them at the actual-harm or immediate-jeopardy level. That is 46.0 per 100 beds, more than the state median of 25.0.
CMS lists 2 penalties in the period covered: fines totalling $91K and 1 payment denial.
Reported nurse staffing is 3.2 hours per resident per day (0.6 RN), close to the Colorado median of 3.5; nursing staff turnover is 31.0%.
Compared with county, state and nation
| Measure | This facility | Boulder Co. median | Colorado median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 69 | 23 | 22 | 28.7 |
| Citations per 100 beds | 46.0 | 22.6 | 25.0 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.4 | 3.5 | 3.9 |
| RN hours per resident day | 0.6 | 0.8 | 0.7 | 0.7 |
| Nursing staff turnover | 31.0% | 50.0% | 46.7% | 45.8% |
| Fines listed | $90,659 | $32,860 | $10,033 | — |
County and state figures are medians across facilities (10 in the county, 210 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Colorado average per facility for the same cycle, as published by CMS. Standard health survey dates: 21 Nov 2024, 15 Jun 2023.
Severity mix: J ×2 L ×3 G ×7 D ×25 E ×23 F ×9
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 2 Oct 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 9 Dec 2025 |
| 2 Oct 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 9 Dec 2025 |
| 21 Nov 2024 | F0570 | Assure the security of all personal funds of residents deposited with the facility. | F | Standard survey | 12 Dec 2024 |
| 21 Nov 2024 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Complaint investigation | 20 Dec 2024 |
| 21 Nov 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 20 Dec 2024 |
| 21 Nov 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 20 Dec 2024 |
| 21 Nov 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 13 Dec 2024 |
| 21 Nov 2024 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 20 Dec 2024 |
| 21 Nov 2024 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 20 Dec 2024 |
| 21 Nov 2024 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | Standard survey | 20 Dec 2024 |
| 15 Oct 2024 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Complaint investigation | 1 Nov 2024 |
| 7 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 17 Apr 2024 |
| 7 Mar 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 29 Jun 2024 |
| 7 Mar 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint investigation | 17 Apr 2024 |
| 7 Mar 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 17 Apr 2024 |
| 7 Mar 2024 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Complaint investigation | 17 Apr 2024 |
| 7 Mar 2024 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Complaint investigation | 9 May 2024 |
| 7 Mar 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Complaint investigation | 17 Apr 2024 |
| 7 Mar 2024 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | F | Complaint investigation | 17 Apr 2024 |
| 7 Mar 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Complaint investigation | 17 Apr 2024 |
| 7 Mar 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 17 Apr 2024 |
| 7 Mar 2024 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 17 Apr 2024 |
| 7 Mar 2024 | F0760 | Ensure that residents are free from significant medication errors. | E | Complaint investigation | 17 Apr 2024 |
| 7 Mar 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Complaint investigation | 17 Apr 2024 |
| 7 Mar 2024 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Complaint investigation | 21 Jun 2024 |
| 20 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 18 Dec 2023 |
| 20 Nov 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 18 Dec 2023 |
| 20 Nov 2023 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint investigation | 18 Dec 2023 |
| 20 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 18 Dec 2023 |
| 15 Jun 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 18 Jul 2023 |
| 15 Jun 2023 | F0574 | The resident has the right to receive notices in a format and a language he or she understands. | E | Standard survey | 18 Jul 2023 |
| 15 Jun 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 18 Jul 2023 |
| 15 Jun 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 18 Aug 2023 |
| 15 Jun 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | Standard survey | 18 Jul 2023 |
| 15 Jun 2023 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | Standard survey | 18 Jul 2023 |
| 15 Jun 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 18 Jul 2023 |
| 15 Jun 2023 | F0923 | Have enough outside ventilation via a window or mechanical ventilation, or both. | E | Standard survey | 18 Jul 2023 |
| 15 Jun 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 18 Jul 2023 |
| 15 Jun 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 18 Jul 2023 |
| 15 Jun 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 18 Jul 2023 |
| 15 Jun 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 18 Jul 2023 |
| 15 Jun 2023 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 18 Jul 2023 |
| 15 Jun 2023 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 8 Aug 2023 |
| 19 Apr 2022 | F0880 | Provide and implement an infection prevention and control program. | L | Standard survey | 18 May 2022 |
| 19 Apr 2022 | F0886 | Perform COVID19 testing on residents and staff. | L | Standard survey | 14 Jun 2022 |
| 19 Apr 2022 | F0888 | Ensure staff are vaccinated for COVID-19 | L | Standard survey | 14 Jun 2022 |
| 19 Apr 2022 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | Standard survey | 14 Jun 2022 |
| 19 Apr 2022 | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | G | Standard survey | 14 Jun 2022 |
| 19 Apr 2022 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | G | Standard survey | 14 Jun 2022 |
| 19 Apr 2022 | F0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | G | Standard survey | 14 Jun 2022 |
| 19 Apr 2022 | F0841 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | G | Standard survey | 14 Jun 2022 |
| 19 Apr 2022 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | G | Standard survey | 14 Jun 2022 |
| 19 Apr 2022 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Standard survey | 14 Jun 2022 |
| 19 Apr 2022 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Standard survey | 14 Jun 2022 |
| 19 Apr 2022 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 14 Jun 2022 |
| 19 Apr 2022 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 14 Jun 2022 |
| 19 Apr 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 14 Jun 2022 |
| 19 Apr 2022 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | E | Standard survey | 14 Jun 2022 |
| 19 Apr 2022 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Standard survey | 14 Jun 2022 |
| 19 Apr 2022 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | Standard survey | 14 Jun 2022 |
| 19 Apr 2022 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 14 Jun 2022 |
| 19 Apr 2022 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 14 Jun 2022 |
| 19 Apr 2022 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 14 Jun 2022 |
| 19 Apr 2022 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 14 Jun 2022 |
| 19 Apr 2022 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 14 Jun 2022 |
| 19 Apr 2022 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 14 Jun 2022 |
| 19 Apr 2022 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 14 Jun 2022 |
| 19 Apr 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 14 Jun 2022 |
| 19 Apr 2022 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 14 Jun 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 7 Mar 2024 | Payment denial | — | 85 days |
| 7 Mar 2024 | Fine | $90,659 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Colorado average. Turnover: nursing staff 31.0%, RNs 27.3%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Colorado median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 3.9% | 11.1% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 0.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 4.4% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 4.4% | 11.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.7% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 22.1% | 18.8% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Palo Community Healthcare Llc. Chain: Pacs Group (274 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Panther Master Tenant, LLC | 5% or greater direct ownership interest | 100% | 09/01/2023 |
| Providence Group Nh, LLC | 5% or greater indirect ownership interest | 100% | 09/01/2023 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Boulder County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Frasier Meadows Health Care Center | Boulder | 54 | 5 | 4 | 5 | 7 | 13.0 | $49K | 16 Apr 2024 |
| Boulder Canyon Health and Rehabilitation | Boulder | 140 | 4 | 4 | 3 | 18 | 12.9 | — | 14 Jan 2026 |
| Boulder Post Acute | Boulder | 162 | 4 | 3 | 3 | 30 | 18.5 | $9K | 19 Feb 2026 |
| Coal Creek Post Acute & Assisted Living | Lafayette | 70 | 4 | 3 | 4 | 23 | 32.9 | — | 3 Jun 2026 |
| Katherine and Charles Hover Green Houses | Longmont | 48 | 4 | 3 | 5 | 13 | 27.1 | $42K | 29 Jan 2026 |
| Life Care Center of Longmont | Longmont | 187 | 3 | 2 | 3 | 29 | 15.5 | $33K | 12 Mar 2026 |
| Mcintosh Care and Rehabilitation Center | Longmont | 110 | 3 | 3 | 2 | 20 | 18.2 | $14K | 19 Mar 2026 |
| Peaks Care Center, The | Longmont | 84 | 3 | 3 | 3 | 19 | 22.6 | — | 9 Apr 2026 |
All 10 facilities in Boulder County
Questions and answers
How many deficiencies has Winding Trails Post Acute been cited for?
69 health deficiencies across the three most recent survey cycles, 12 at the actual-harm or immediate-jeopardy level. The Colorado median is 22 per facility.
Has Winding Trails Post Acute been fined?
Yes. CMS lists fines totalling $91K in the period covered, plus 1 payment denial.
How does staffing at Winding Trails Post Acute compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Colorado median of 3.5 and a national average of 3.9.
Who operates Winding Trails Post Acute?
It is part of the Pacs Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Panther Master Tenant, LLC and Providence Group Nh, LLC. Individual owners and managers are not listed on this site.
When was Winding Trails Post Acute last inspected?
The most recent survey or investigation in the CMS record is dated 2 Oct 2025; the most recent standard health survey was 21 Nov 2024.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.